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MCN Exam 2: Intrapartum NCLEX-Style Questions And Answers
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A woman is 40 weeks pregnant & reports feeling a sudden gush of fluid and suspects her water may have broken. What should the RN advise the woman to do? A. Wait at home and monitor for contractions. B. Drink plenty of fluids to stay hydrated. C. Lie down and rest for at least 2 hours. D. Seek...

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  • November 7, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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MCN Exam 2: Intrapartum NCLEX-Style
Questions And Answers


A woman is 40 weeks pregnant & reports feeling a sudden gush of fluid and suspects her water
may have broken. What should the RN advise the woman to do?
A. Wait at home and monitor for contractions.
B. Drink plenty of fluids to stay hydrated.
C. Lie down and rest for at least 2 hours.
D. Seek immediate medical attention for assessment. - ANS Answer: D
Rationale: Spontaneous rupture of membranes (SROM), or the "water breaking," can lead to
complications, such as infection, if not properly managed so she should seek immediate
medical attention for an assessment to confirm if her water broke.

SATA: Which of the following a premonitory signs of labor?
A. "Bloody show"
B. Lightening
C. Braxton Hicks contractions
D. Cervical changes
E. Nesting - ANS Answer: All of the above
Rationale: N/A

A nursing student is reviewing the signs of true labor. Which statement by the student correctly
identifies a sign of true labor?
A. "Contractions that are relieved by changing positions."
B. "Pain starting in the abdomen and radiating to the back."
C. "Irregular contractions occurring every 10-15 minutes." D. "Pain felt in front of the abdomen."
- ANS Answer: B
Rationale: True labor involves strong, regular, & frequent contractions unrelieved by position
changes, walking, or hydration. Pain felt during true labor will start in the abdomen and radiate
to the lower back.

A 28-year-old female gives birth to twins at 38 weeks gestation. This is her first pregnancy.
Which option below best describes the patient's gravidity and parity?
A. Gravida 1, para 1
B. Gravida 1, para 2
C. Gravida 2, para 2
D. Gravida 1, para 0 - ANS Answer: A

, Rationale: Gravida is the number of times a woman has been pregnant regardless of the
outcome. The patient has been pregnant once (twins or multiples count as one). Parity is the
number of births that occurred after 20 weeks gestation. The patient's parity is 1 (twins or
multiples count as a one).

True or false: During the initial maternal assessment it is important to ask when the membranes
ruptured due to an increased risk for infection if delivery is not completed within 18 hours. - ANS
Answer: true
Rationale: N/A

A nursing student is learning about maternal assessments and the use of Leopold's maneuvers
during pregnancy. Which statement by the student indicates a correct understanding of the
purpose of Leopold's maneuvers?
A. "It helps determine fetal heart rate and assess uterine contractions."
B. "It assists in locating the fetal heartbeat and determining fetal position and presentation."
C. "It's performed to measure fundal height and estimate gestational age."
D. "It's used to assess the dilation and effacement of the cervix during labor." - ANS
Answer: B
Rationale: Leopold's maneuvers are a systematic, four-step process used to determine the
position and presentation of the fetus. They involve palpation and assessment of the maternal
abdomen to identify the fetal parts and their relationships, aiding in the determination of fetal
position and presentation.

A nursing student is studying fetal stationing during labor. Which statement by the student
indicates a correct understanding of fetal station?
A. "It is the measurement of the fetal head in relation to the maternal symphysis pubis and is
recorded as a negative or positive value."
B. "It refers to the descent of the fetal buttocks into the pelvis, indicating engagement in the birth
canal."
C. "It is determined by assessing the frequency and intensity of uterine contractions during
labor."
D. "It is the measurement of the diagonal diameter of the fetal head in relation to the maternal
pelvic inlet." - ANS Answer: A
Rationale: Fetal station is the measurement of the fetal head in relation to the maternal ischial
spines or symphysis pubis. It is recorded as a negative (below) or positive (above) value,
indicating the level of descent of the fetal head in the birth canal.

SATA: Which of the following labs are completed during pregnancy?
A. Hepatitis B
B. HIV testing
C. Syphilis testing (VDRL)
D. Toxicology screening
E. Group B strep test - ANS Answer: All of the above
Rationale: N/A

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